23A-004 (11) BP-2023-0153
25 MEADOW ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23A-004-001 CITY OF NORTHAMPTON
Permit: New Build
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2023-0153 PERMISSION IS HEREBY GRANTED TO:
2023 REPLACE GARAGE WITH
Project# ADU Contractor: License:
DOUGLAS B THAYER DBA
DOUGLAS THAYER
Est. Cost: 88000 WOODWORKING 107699
Const.Class: Exp.Date: 04/07/2024
Use Group: Owner: JULIE STARR DAVID &
Lot Size (sq.ft.)
DOUGLAS B THAYER DBA DOUGLAS THAYER
Zoning: URB Applicant: WOODWORKING
Applicant Address Phone: Insurance:
P O BOX 60322 (413)530-4785 6HUBGR15002
FLORENCE, MA 01062
ISSUED ON: 03/09/2023
TO PERFORM THE FOLLOWING WORK:
REPLACE GARAGE WITH LIVING UNIT AND ATTACHED STORAGE SPACE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: Footings:
Rough: Rough: House# Foundation:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $572.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
File #BP-2023-0153 Z-0K
APPLICANT/CONTACT PERSON:DOUGLAS B THAYER DBA DOUGLAS THAYER WOODWORKING
P O BOX 60322 FLORENCE, MA 01062(413)530-4785
PROPERTY LOCATION 25 MEADOW ST
MAP:LOT 23A-004-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $572.00
Type of Construction: REPLACE GARAGE WITH LIVING UNIT AND ATTACHED STORAGE SPACE
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan ?DOL. Fci
Cep IWwt
T FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON vJ C O �U 1 L�/(g
ORMATION PRESENTED:
Approved Additional permits required(see below) jib ON),), S PACE Cql
\PLANNING BOARD PERMIT REQUIRED UNDER:* 4
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan 1 sv
C oN-Waa. L.,
ZONING BOARD PERMIT REQUIRED UNDER: §
7976 o c
Finding Special Permit _ Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition 'Delay
el I ri j s 2 : .1 I i I 347/?'
Signature of Building Official I Date
•
Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission, Department
of public works and other applicable permit granting authorities.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of
Planning&Development for more information.
The Commonwealth of Massachusetts
.�* r� Board of Building Regulations and Standards FOR
,. �� Massachusetts State Building Code, 780 CMR MUNICIPALITY
E USE
Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
One- or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number:$(?2023 01 y 3 ,___ Date Applied:
06/41 1 r• /a3
,,► • ; `�
Building Official(Print Name) r Signature ' / Date
i
SECTION 1: SITE INFORMATION
1.1
Pro erty Address:
1.2Aessors Map& Parcel Numbers a �a d *7Q '5+ 2)
l.1a Is this an accepted street?yes x no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:ni
ao6
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
I
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
If0 6' 36
1.6 Water Supply: (M.G.L c.40.§5-4) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public" Private 0 Zone: Outside Flood Zone?Check ifyes❑ Municipal X On site disposal system 0
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
David . S ia4 r 1wr P SIY' 15 /t1 euiray- 5 t
Name(Print) City,State,ZIP
. S ilOaddk, Sf 91-17 S%S% 55o Juliem-afr@ co,„4(asf,Nc'4
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK(check all that apply)
New Construction❑ Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg Number of Units Other 0 Specify:
Brief Description of Proposed Work': 11
See A-I�ot 1D(
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 70 DUG 1. Building Permit Fee: $ Indicate how fee is determined:
G 000 0 Standard City/Town Application Fee
2.Electrical $ 0 Total Project Costa(Item 6)x multiplier x
3. Plumbing $ 10 0 00 2. Other Fees: $
4. Mechanical (HVAC) $ 1-0 Cb List:
5.Mechanical (Fire
Suppression) $ Total All Fees: $ kS-7(4 a°
Check No.12.2$ Check Amount: Cash Amount:
G
6.Total Project Cost: $ 0 S3000 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor' License (CSL) 7 6 ��ct
0 o(,t l k S T Y j `1 e I License Number Expiration i ate
Name of CSL Haider
U ,�o j ll f 6 03 a a List CSL Type(see below) 2
No.and Street type Description
FI U Unrestricted(Buildings up to 35,000 cu. ft.)
lf�CkCt R Restricted1&2 Family Dwelling
City/Town,State,ZIP M Masonry
01
0 6 e/') RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
U - 3 V- Y 7 t S I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 17 9(n.! to11417,1
Voahlgs Th a HIC Registration Number Expiration Date
HIC Cgmpan Nam or HIC Registrant IW�me
'J illy 6032a 0�yla) thole, ova coo'
No.and Street..., U Email addressU
City/Town,State,ZIP Telephone
SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152. § 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes No........... ❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize OcukfitaSMilkier
to act n my behalf,in al ers relative to work authorized by thg building permit plication.
VQW°7�
Print O s Name(Electro lc Signature) Date
SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the st of my knowledge and understandin .
Print Owner's or Authorized Agent's Nam ectronic Signature Date
NOTES:
I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty under M.G.L.c. 142A. Other important information on the HIC Program can be found at
www.mass.gov/oca ormation on the Construction Supervisor License can be found at www.mass.gov/dps
2. When substantia ork is planned,provide the information below:
Total floor area(s . ft.) (including garage,finished basement/attics,decks or porch)
Gross living ar (sq. ft.) Habitable room count
, Number of fi places Number of bedrooms , _
Number o athrooms Number of half/baths
Type of eating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
City of Northampton
Massachusetts /4
4$x�A3 DEPARTMENT OF BUILDING INSPECTIONS
K )
212 Main Street • Municipal Building 4
��`. Northampton, MA 01060 Q'
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility: ANr
The debris will be transported by:
Name of Hauler: )10(k (15 -MR
V
Signature of Applicant: Date: _0,2/4,15--
The Commonwealth of Massachusetts
p,=.• mamma*Al
Department of Industrial Accidents
i ,..... , ,. ,,,,,
1 Congress Street,Suite 100
-1!'2191ifir*-7..j Boston, MA 02114-2017
,1 -tli4 www.masxgovidia
Workers'Compensation Insurance Affklavit:Builders/Contractors/Electricians/Plumbers.
TO HE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name(Busitaass/Orsantzation;individual l; 0 0 c,, , 5
Address: 02( 603 . Fick,ei„c-,._ 1 Ji olo(2?
City/StatetZip: Phone#:
. . ,
la e um an oripher"Cheek the appropriate box: " Type of project(required):
lam a employer with 3,,,,,,,etriptoyees(full and/or parl-time)' 7.)g,Z•iew construction
201 am a sole proprittor or jaartnerslup and have no employees working for me in 8. 0 Remodeling
any capaeity,[Nu workers'comp.imiunince required]
9. 0 Demolition
3f:j 1 ant a homeowner doing all viodt myself,Rio*oaken comp.insurawe required.]
100 Building addition
4.0 lain a homeowner and will be hiring contractors.to conduct all work on my property. l will
ensure that all contractors either have workers'cuenpensation insurance in we foie 110 Electrical repairs or additions
proprietors with no employeeiL
12.0 Plumbing repairs or additions
5.13 tam a*metal contractor and l have bared the sub-courraeton.listed on the attached sheet.
These sobscontracturs have employees and hove13E3 Roof repairs worker,'comp,insurance.:
: Other_
6.E3 we are a corporation and its officers have exert-Wed their right of exerriptson per MGL e. 14 0
152.00),and we have iso employees,[No workers'cirnp. assurance requital]
An applicant that eh bona al must also fill out the welkin below showing their aiutiLer .compensation policy inform/two
+Itoirrespa nem who submit this affidavit indicating they are chimp all work and then hue outside eimusetors mire submit a MIA A(1110 a indicating such.
:Conuactors ilit check the.box mos)attached an additional 31-a-4:1 showing the MUM of die saLveontractors and state whether or not those enuties have
cinpluyeel if the sub-cororactors base employers,they must provide their workers"...snip.pulley number
I am an employer that is providing workers compensation insurance or my employees. Below is the policy and Job site
information.
—c-
InNuraik c Company Naine:
I \Pk/a\ev" —
i .
Policy 4 ot Self-Ms.Lie.#: 6 L-1-(1..b - a..1_500 - Expiration Date:
Job Site Address: ).- pa 10,A. 5-1 - City/StateiZip: 0106 -
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of investigations of the DIA for insurance
coverage verilk.ttii in
I do hereby certi under the pain d penalties of perjury that the information provided above is true and correct.
Signature: Date:
Phone#: ki 117- S30 Y7
Official use only. Do not write in this area,to be completed by city or town official
City or Town: PermitiLicense#
Issuing Authority(circle one):
1. Board of Health 2.Budding Department 3.C.ityriown Clerk 4.Electrical Inspector 5. Plumbing Inspector
h.Other
Contact Person: Phone#:
- , _ —.._
Douglas Thayer
PO Box 60322
Florence MA
25 Meadow ave
Auxiliary unit
Specifications
Foundation
8' cast concrete wall, 12" wide, 10" thick footer
#4 rebar vertical and horizontal 4' c-c
4" below grade
Crawl space under conditioned section with access at west elevation.
Slab on grade for non conditioned storage space
Framing
2x6 wall assembly 16" OC
Insulated zip panel sheathing 1" iso, %" OSB
2x8 floor assembly 16" OC
2x10" roof assembly, vented
Metal roofing
Windows and doors
400 Series Anderson windows
Thermal pane therma tru doors
Vertical metal siding
Mechanical
Electric heat pump for space conditioning
Electric on demand hot water for sink
Mechanical ventilation in bathroom
Water, sewer and electric to be routed to/from main house
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Property Information w 7
Parcel ID 23A-004-001
Address 25 MEADOW ST y 1 1 ' = •t
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It is not adequate for legal boundary definition,regulatory ,• I. �
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Douglas Thayer
PO Box 60322
Florence MA
413-530-4785
2/1/23
Northampton building department
25 Meadow street
Lot coverage and open space
Lot 23A0-4 .206 acres 8973 sq ft
Coverage
House 1,162 sq ft
Driveway 300 sq ft
Proposed aux structure 420 sq ft
Total 1 ,882
1882 divided by 8973 = .209 or 21 percent coverage of lot